AMY M MIKUSA (NPI# 1285034116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285034116 |
| Entity Type | Individual |
| Full Name | AMY M MIKUSA |
| Credential | CNP |
| Practice Address |
2971 Graham Rd Stow OH 44224-3619 |
| Practice Telephone | 3306887981 |
| Practice Fax Number | 3306887469 |
| Mailing Telephone | 3306887981 |
| Mailing Fax Number | 3306887469 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2016-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
COA. 16284-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0109397 | 05 |
| Street Address |
2971 GRAHAM RD |
| City | STOW |
| State | OH |
| Zip Code | 44224-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588640668 | Michelle A. Holmer | Family Medicine | 2971 Graham Rd, Stow, OH 44224-3619 | 2005-12-20 |
| 1881052744 | Tara C. Ferguson | Nurse Practitioner | 2971 Graham Rd, Stow, OH 44224-3619 | 2016-02-08 |
| 1073783304 | Nancy Scaglione | Nurse Practitioner | 2971 Graham Rd, Stow, OH 44224-3619 | 2008-03-03 |
| 1649259771 | Kristen L Barath | Nurse Practitioner | 2971 Graham Rd, Stow, OH 44224-3619 | 2006-01-17 |
| 1669458782 | James Michael Bailey | Family Medicine | 2971 Graham Rd, Stow, OH 44224-3619 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083119 | Karlie Wardlaw | Case Manager/Care Coordinator | 4161 Brudgewater Pkwy, Stow, OH 44224 | 2020-08-10 |
| 1730733270 | Ron Rahe | Pharmacist | 1961 Marhofer Ave, Stow, OH 44224 | 2019-08-01 |
| 1306400395 | Northern Summit Counseling, LLC | Community/Behavioral Health | 4526 Stow Rd, Suite A, Stow, OH 44224 | 2019-04-25 |
| 1063930626 | Stow Recovery Specialists, LLC | Clinic/Center | 4502 Darrow Rd, Stow, OH 44224 | 2017-09-05 |
| 1396124525 | Aaron Lindstrom | Dentist | 3515 Hudson Drive Suite 100, Stow, OH 44224 | 2015-05-20 |
| 1093116519 | Progressive Hospice, LLC | Hospice Care, Community Based | 4466 Darrow Rd. Ste. 9, Stow, OH 44224 | 2014-09-16 |
| 1326368457 | Person Centered Therapies, Inc. | Speech-Language Pathologist | 3653 Darrow Rd., Suite 3, Stow, OH 44224 | 2010-06-11 |
| 1306176847 | Latoya Searight | Occupational Therapist | 2970 L'ermitage Place, Stow, OH 44224 | 2010-01-06 |
| 1144471798 | Douglas R Kast | Internal Medicine | 4465 Darrow Rd., Stow, OH 44224 | 2008-10-01 |
| 1700044526 | Edward C Maher Jr. | Dentist | 3500 Hudson Dr #3, Stow, OH 44224 | 2008-05-29 |
| Find all providers in zip 44224 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104090117 | Alicia Wolf Gnp, Inc. | Nurse Practitioner | 2407 Becket Cir, Stow, OH 44224-7027 | 2008-04-22 |
| 1710520788 | Patience Dawn Wilson | Nurse Practitioner | 4465 Darrow Rd, Stow, OH 44224-1884 | 2019-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1649879032 | Danielle Wines | Nurse Practitioner | 5933 Sarah Lake Dr, Sylvania, OH 43560-9201 | 2020-10-19 |
| 1881292902 | Karen Cooper | Nurse Practitioner | 730 A Kittle Road, Wheelersburg, OH 45694 | 2020-10-12 |
| 1659983252 | Michael A. Adams | Nurse Practitioner | 3837 Washington Blvd, University Heights, OH 44118-3158 | 2020-08-17 |
| 1912516709 | Susan Marie Hessey | Nurse Practitioner | 4502 Satinwood Dr, Toledo, OH 43623-3350 | 2020-07-28 |
| 1518585728 | Diane Louise Lamb | Nurse Practitioner | 3163 Hook Waltz Rd E, Elida, OH 45807-9555 | 2020-07-14 |
| 1215553052 | Jennifer Cordray | Nurse Practitioner | 5452 Grace Dr, Mentor, OH 44060-1500 | 2020-06-17 |
| 1053943134 | Chunyan Mcelroy | Nurse Practitioner | 101 Meadowlands Dr Apt D8, Chardon, OH 44024-9379 | 2020-02-06 |
| 1790324432 | Ashley Nicole Neely | Nurse Practitioner | 890 Oakwood Dr, Alliance, OH 44601-5435 | 2019-12-28 |
| 1710530357 | Christine Marie Hoover | Nurse Practitioner | 65 Community Rd Ste C, Tallmadge, OH 44278-2358 | 2019-07-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.